Healthcare Provider Details

I. General information

NPI: 1922056654
Provider Name (Legal Business Name): JONATHAN H GARGER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 US-52 SUITE 360
MONCKS CORNER SC
29416
US

IV. Provider business mailing address

2830 US-52 SUITE 360
MONCKS CORNER SC
29461
US

V. Phone/Fax

Practice location:
  • Phone: 843-330-8889
  • Fax: 439-990-9504
Mailing address:
  • Phone: 843-990-4715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10660
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: